Scarf Osteotomy for Correction of Hallux Valgus Deformity
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- Category: Vol. 77, June 2009
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Scarf Osteotomy for Correction of Hallux Valgus Deformity,AHMAD M. KHOLEIF
Abstract
Objective: Presentation of clinical and radiological out-come of a case series of scarf osteotomy.
Patients and Methods: The study involved 20 patients with 24 feet affected with symptomatic moderate to severe hallux valgus. Clinical assessment was done using American Orthopedic Foot and Ankle Society (AOFAS) score. Radio-logical assessment utilized measurement of hallux valgus angle (HVA), intermetatarsal angle (IMA) and the distal metatarsal articulation angle (DMAA). Akin closing-wedge osteotomy was added for 6 feet (25%).
Results: Mean age of patients was 35.6±3.5 years; with 16 females and 4 males. All the clinical and radiological scores improved significantly after surgery compared to the baseline scores (p<0.001, for all comparisons). There was no correlation between the clinical score and radiological angles pre- and postoperatively.
Conclusion: Scarf osteotomy of the first metatarsal can be considered to be a safe and reliable solution for the treatment of hallux valgus deformity.